Individual
JENNY M. KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MT-BC
Contact information
Practice address
3640 9TH ST NW, ROCHESTER, MN 55901-6685
(507) 282-3730
Mailing address
1824 TETON LN NE, ROCHESTER, MN 55906-4295
(507) 536-9980
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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